Whole Health Program for Patient Satisfaction

Overseen By Karen E Fowler, MPH

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Michigan

Disqualifiers: Non-English speakers, Cognitive impairment

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

900 Participants Needed

Trial Summary

What is the purpose of this trial?

This study will utilize a quasi-experimental pre-test/post-test design and will be conducted on the medical and medical/surgical units at the VA Ann Arbor Healthcare System. Hospitalized patients on the intervention units will be offered the Inpatient Whole Health Bundle. This study will evaluate overall satisfaction with the hospital environment and care as well as the bundle and components using a mailed survey of patients discharged from each unit. This study will also conduct a qualitative assessment of the intervention to understand intervention experiences as well as barriers and facilitators to improving hospitalized patient well-being. Finally, the study will assess unit-level metrics.

Do I need to stop taking my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the Inpatient Whole Health Bundle treatment for patient satisfaction?

Research shows that patient satisfaction can be improved by focusing on communication and pain management, as seen in a study where a patient-centered approach increased satisfaction scores significantly. Additionally, high satisfaction levels are often linked to patients feeling their health has improved and receiving good information from healthcare providers. ^{1 2 3 4 5}

Is the Whole Health Program safe for humans?

The available research does not provide specific safety data for the Whole Health Program or its variations. However, general studies on patient safety during hospitalization highlight the importance of minimizing adverse events to ensure patient safety. ^{6 7 8 9 10}

How does the Inpatient Whole Health Bundle treatment differ from other treatments for patient satisfaction?

The Inpatient Whole Health Bundle is unique because it focuses on a holistic approach to patient care, aiming to improve overall patient satisfaction by addressing not just medical needs but also psychological and emotional well-being during hospitalization. This approach is different from traditional treatments that may focus primarily on medical outcomes without integrating comprehensive patient satisfaction strategies. ^{1 4 11 12 13}

Research Team

Nathan Houchens, MD

Principal Investigator

VA Ann Arbor Healthcare System

Sanjay Saint, MD

Principal Investigator

University of Michigan

Eligibility Criteria

This clinical trial is for patients at the VA Ann Arbor Healthcare System who are hospitalized on certain medical and surgical units. The study aims to assess their satisfaction with hospital care, focusing on those who choose to use the Inpatient Whole Health Bundle.

Inclusion Criteria

Adult hospitalized patients on medical and medical/surgical units at the VA Ann Arbor Healthcare System

Exclusion Criteria

I cannot speak English.

Patients who are cognitively impaired

Timeline

Pre-Intervention

A sample of patients recently discharged from the hospital will be mailed a study survey to assess satisfaction with their hospital stay.

8 weeks

Intervention

Hospitalized patients will be offered the Inpatient Whole Health Bundle, and their satisfaction will be assessed post-discharge.

8 weeks

Follow-up

Participants are monitored for satisfaction and well-being after discharge through mailed surveys.

1-2 weeks post discharge

Treatment Details

Interventions

• Inpatient Whole Health Bundle

Trial Overview The trial is testing the 'Inpatient Whole Health Bundle' intervention's effect on patient satisfaction in a hospital setting. It involves pre- and post-intervention surveys and qualitative assessments to understand patient experiences.

Participant Groups

Group I: Whole Health Intervention Participants Experimental Treatment 1 Intervention

Hospitalized patients on the intervention units will be offered participation in the Inpatient Whole Health Bundle.

Group II: Pre-Intervention Participants Active Control 1 Intervention

Randomly selected patients who had been discharged within the two months prior to the intervention will be recruited to provide information via a survey.

Who Is Running the Clinical Trial?

University of Michigan

Lead Sponsor

Trials

1,891

Recruited

6,458,000+

Agency for Healthcare Research and Quality (AHRQ)

Collaborator

Trials

415

Recruited

6,777,000+

Findings from Research

A study assessing patient satisfaction in a private tertiary care hospital found that 100 in-patients reported an overall satisfaction score of 87.12%, indicating a high level of contentment with the care and services received.

The study utilized a stratified random sampling method and a structured questionnaire, highlighting the importance of systematic approaches in evaluating healthcare outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Satisfaction of in-patients concerning patient care in a tertiary care hospital in Punjab. Mammen, SA., Varghese, SR., Isaac, R.[2009]

A quality improvement project across 21 medical centers implemented a patient-centered approach to enhance inpatient pain management, resulting in a significant increase in patient satisfaction scores.

The patient satisfaction with pain management improved from the 25th percentile to nearly the 75th percentile nationally, demonstrating the effectiveness of the new nursing practices developed using human-centered design principles.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Quality Improvement Project to Improve Patient Satisfaction With Pain Management: Using Human-Centered Design. Trail-Mahan, T., Heisler, S., Katica, M.[2017]

In a study of 101 adult inpatients with prolonged hospital stays averaging 35 days, fewer consultations with physicians were found to be the strongest predictor of patient satisfaction regarding communication.

Factors such as nonoperative admissions and no intensive care unit stays also positively influenced satisfaction, indicating that simplifying patient care processes may enhance overall patient experiences.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The number of inpatient consultations is negatively correlated with patient satisfaction in patients with prolonged hospital stays. Schmocker, RK., Holden, SE., Vang, X., et al.[2022]

A survey of 817 hospitalized patients at Kairouan Hospital revealed a high overall satisfaction level of 70%, particularly among those who felt their health had improved and were likely to recommend the hospital.

Despite the high satisfaction score, 77% of patients expressed a desire for better services, highlighting key areas for improvement such as communication from healthcare staff, comfort, cleanliness, and food quality.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Evaluation of satisfaction of patients hospitalized at the Kairouan Hospital]. Mtiraoui, A., Alouini, B.[2006]

A study of 1,340 surgical patients revealed that factors such as younger age, admission via the emergency department, and preoperative narcotic use significantly predicted lower inpatient satisfaction scores, highlighting the importance of patient demographics in satisfaction outcomes.

Patients with unresected cancer and those experiencing postoperative complications reported lower satisfaction, suggesting that managing expectations and improving postoperative care could enhance overall patient satisfaction in surgical settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Surgical inpatient satisfaction: what are the real drivers? Danforth, RM., Pitt, HA., Flanagan, ME., et al.[2022]

The study will analyze the experiences of 20,000 recently hospitalized patients aged 45 and above in New South Wales, Australia, to understand the prevalence and impact of adverse events during their hospital stay.

Approximately 25% of participants are expected to report experiencing an adverse event, and the research will combine quantitative and qualitative methods to provide a comprehensive view of patient experiences and inform health policy improvements.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Using patients' experiences of adverse events to improve health service delivery and practice: protocol of a data linkage study of Australian adults age 45 and above. Walton, M., Smith-Merry, J., Harrison, R., et al.[2023]

Approximately 64% of Medicare inpatient admissions from 2009 to 2011 were free from adverse events, indicating a significant portion of patients experienced safe hospital stays.

However, 22.7% of admissions had multiple adverse events, highlighting the need for improved patient safety measures, as only 60% of admissions were recorded as adverse event free.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. King, A., Bottle, A., Faiz, O., et al.[2019]

Hospital at Home (HaH) care was positively evaluated by healthcare providers, with a high problem-free index (mean 4.4 out of 5), indicating that most patients experienced few issues during their care.

Providers noted benefits such as faster patient recovery and improved communication with family, although some logistical problems were reported, particularly for patients with higher acuity or specific conditions like cellulitis.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Health care provider evaluation of a substitutive model of hospital at home. Marsteller, JA., Burton, L., Mader, SL., et al.[2009]

The implementation of a transitional care bundle at Kaiser Permanente Northwest led to a significant reduction in hospital readmission rates from 12.1% to 10.6% over 6 years, demonstrating its efficacy in improving patient outcomes.

Key improvements included a decrease in medication error rates on discharge lists from 57% to 21%, and a faster average time to the first postdischarge appointment, which dropped from 9.7 days to 5.3 days, highlighting the effectiveness of patient-centered care strategies.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Tackling 30-Day, All-Cause Readmissions with a Patient-Centered Transitional Care Bundle. Rice, YB., Barnes, CA., Rastogi, R., et al.[2016]

In a study of 2809 hospital admissions, 23.6% experienced at least one adverse event, highlighting a significant issue in patient safety during hospitalization.

Of the identified adverse events, 22.7% were deemed preventable, indicating that improvements in hospital practices could reduce patient harm, particularly from adverse drug events, which were the most common type.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Safety of Inpatient Health Care. Bates, DW., Levine, DM., Salmasian, H., et al.[2023]

A new 17-item questionnaire was developed to reliably assess patient satisfaction in inpatient psychosomatic care, tested on 300 patients with an 80% response rate.

The concise 8-item version (Zuf-8) proved to be an effective tool for measuring general satisfaction, showing significant correlations with patient characteristics and highlighting the importance of incomplete responses as a potential indicator of dissatisfaction.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Satisfaction with inpatient management. Development of a questionnaire and initial validity studies]. Schmidt, J., Lamprecht, F., Wittmann, WW.[2022]

Patients treated in nonmedicine units reported higher overall satisfaction scores (average 8.9 out of 10) compared to those in medicine units, indicating that the type of unit can significantly influence patient experience.

Specifically, patients on nonmedicine units felt that doctors listened to them more carefully, suggesting that differences in the environment and staffing may contribute to better communication and satisfaction in these units.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Location Matters: Type of Hospital Unit Can Influence Medicine Patients' Satisfaction with Physician Communication. Dawson, AZ., Segon, A., Levine, D., et al.[2021]

In a study of 360 hospitalized patients, higher psychological well-being was significantly associated with increased satisfaction with their physicians, with each unit increase in well-being linked to a 0.31% rise in satisfaction scores.

The findings suggest that enhancing patients' psychological well-being could lead to better patient-physician relationships and improved overall patient outcomes during hospitalization.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Relationship of Physicians' Rapport with Patients' Satisfaction and Psychological Well-being During Hospitalization. Sheikh, MM., Qayyum, R., Panda, M.[2020]

References

1. India pubmed.ncbi.nlm.nih.gov

Satisfaction of in-patients concerning patient care in a tertiary care hospital in Punjab. [2009]

2. United States pubmed.ncbi.nlm.nih.gov

Quality Improvement Project to Improve Patient Satisfaction With Pain Management: Using Human-Centered Design. [2017]

3. United States pubmed.ncbi.nlm.nih.gov

The number of inpatient consultations is negatively correlated with patient satisfaction in patients with prolonged hospital stays. [2022]

4. Tunisia pubmed.ncbi.nlm.nih.gov

[Evaluation of satisfaction of patients hospitalized at the Kairouan Hospital]. [2006]

5. United States pubmed.ncbi.nlm.nih.gov

Surgical inpatient satisfaction: what are the real drivers? [2022]

6. England pubmed.ncbi.nlm.nih.gov

Using patients' experiences of adverse events to improve health service delivery and practice: protocol of a data linkage study of Australian adults age 45 and above. [2023]

7. United States pubmed.ncbi.nlm.nih.gov

Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. [2019]

8. United States pubmed.ncbi.nlm.nih.gov

Health care provider evaluation of a substitutive model of hospital at home. [2009]

9. United States pubmed.ncbi.nlm.nih.gov

Tackling 30-Day, All-Cause Readmissions with a Patient-Centered Transitional Care Bundle. [2016]

10. United States pubmed.ncbi.nlm.nih.gov

The Safety of Inpatient Health Care. [2023]

11. Germany pubmed.ncbi.nlm.nih.gov

[Satisfaction with inpatient management. Development of a questionnaire and initial validity studies]. [2022]

12. Netherlands pubmed.ncbi.nlm.nih.gov

Location Matters: Type of Hospital Unit Can Influence Medicine Patients' Satisfaction with Physician Communication. [2021]

13. United States pubmed.ncbi.nlm.nih.gov

Relationship of Physicians' Rapport with Patients' Satisfaction and Psychological Well-being During Hospitalization. [2020]